The Impact of Parental Support on Adherence to Therapist-Assisted Internet-Delivered Acceptance and Commitment Therapy in Primary Care for Adolescents With Anxiety: Naturalistic 12-Month Follow-Up Study.

Background: Mental health problems among adolescents are increasing, and internet-delivered acceptance and commitment therapy (iACT) constitutes a possible way to improve access to care while reducing costs. Nevertheless, few studies have investigated iACT for adolescents in regular primary care nor the role of parental support.

Objective: This is an exploratory evaluation investigating iACT, with or without parental support, for adolescents.

Clinical Manifestations.

Background: Cognitive complaints (CC) refer to a reported experience of cognitive decline and are recognized as a potential precursor to future functional decline and progression to dementia. Identifying individuals with CC may be a valuable opportunity for preventive measures, early detection, and intervention strategies to address dementia risk. However, the characteristics of CC and its associated risk of progression to dementia are highly heterogeneous, influenced significantly by CC identification methods, recruitment approaches, and attrition in longitudinal cohort studies.

Normative reference interval for youths on the Difficulties in Emotion Regulation Scale (DERS).

Background: The Difficulties in Emotion Regulation Scale (DERS) is widely used in both clinical and non-clinical research to assess emotional regulation difficulties. To guide interpretation of scores, establishing thresholds for normative DERS scores is informative. However, despite its widespread use, to date no study has provided such threshold for youths.

Exploration of Psychological, Social, and Familial Issues of Females Living in the Shelter in Iraqi Kurdistan Through an Art-Based Qualitative Study.

Objective: Female young prisoners may not be willing to discuss their familial and social issues through direct interviews. Therefore, other academic techniques, such as art-based techniques, could be used in this context. We aimed to explore female prisoners' psychological, familial, and social issues through an art-based approach.

Interlaboratory assays from the fungal PCR Initiative and the Modimucor Study Group to improve qPCR detection of Mucorales DNA in serum: one more step toward standardization.

Unlabelled: The aim of this study was to identify parameters influencing DNA extraction and PCR amplification efficiencies in an attempt to standardize Mucorales qPCR. The Fungal PCR Initiative Mucorales Laboratory Working Group distributed two panels of simulated samples to 26 laboratories: Panel A (six sera spiked with Mucorales DNA and one negative control serum) and Panel B (six Mucorales DNA extracts). Panel A underwent DNA extraction in each laboratory according to the local procedure and were sent to a central laboratory for testing using three different qPCR techniques: one in-house qPCR assay and two commercial assays (MucorGenius and Fungiplex).

Treatment with BKI-1748 after systemic dissemination in experimentally infected pregnant sheep improves fetal and lamb mortality and morbidity and prevents congenital infection.

Drug development for congenital toxoplasmosis is challenging since first-line therapy has a high rate of adverse effects and exhibits suboptimal efficacy. Bumped kinase inhibitors (BKIs), targeting protein kinases with small gatekeeper residues, have been found to be effective against . The efficacy of BKI-1748 administered later than 2 days post-infection (p.

Associations between cardiac rehabilitation structure and processes and dietary habits after myocardial infarction: a nationwide registry study.

Aims: Improved dietary habits are important for successful secondary prevention after myocardial infarction (MI), with counselling and support on healthy dietary habits constituting a cornerstone of cardiac rehabilitation (CR). However, there is limited knowledge on how to optimize CR organization to motivate patients to adopt healthy dietary habits. We aimed to explore associations between CR programme structure, processes, and self-reported dietary habits 1 year post-MI.

Intraosseous and intravenous vascular access during adult cardiac arrest: a systematic review and meta-analysis.

Objective: To summarise evidence on the clinical effectiveness of initial vascular attempts via the intraosseous route compared to the intravenous route in adult cardiac arrest.

Methods: We searched MEDLINE and Embase (OVID platform), the Cochrane library, and the International Clinical Trials Registry Platform from inception to September 4 2024 for randomised clinical trials comparing the intraosseous route with the intravenous route in adult cardiac arrest. Our primary outcome was 30-day survival.

Examining the risk mitigation strategies of farm households in Ghana: The role of community water resources.

Agricultural water is indispensable for fostering resilient and sustainable agricultural practices. However, empirical evidence regarding the relationship between community water resources (CWR) and risk mitigation behaviours among farm households remains scant. Utilising nationally-representative household survey data and geospatial information on household locations, we investigate how access to CWR influences crop diversification and sharecropping.

Pyrite in recirculating stacking hybrid constructed wetland: Electron transfer for nitrate reduction and phosphorus immobilization.

Pyrite is considered as an effective and environmentally friendly substrate in constructed wetlands (CW) for wastewater treatment, but its application in recirculation stacking hybrid constructed wetlands (RSHCW) has been scarcely studied. This study uses varying amounts of pyrite as the substrate in RSHCW, leveraging the recirculation of wastewater to alter microenvironments such as dissolved oxygen (DO) and pH, to explore the potential mechanisms of nitrogen (N) and phosphorus (P) removal in pyrite-based RSHCW. The results show that as the proportion of pyrite increases, the removal rate of total phosphorus (TP) in the effluent also increases (25%→58%), significantly enhancing the deposition of iron-bound phosphorus (Fe-P) on the substrate, thereby turning CW into a P reservoir.

Epidemiological Study of Intestinal Protozoan Infections: A Cross-sectional Study in Zakho, Kurdistan, Iraq, during 2018-2022.

Intestinal protozoan parasitic infections are considered one of the most frequent types of infection caused by these parasites and remain a major health problem for communities. This study aims to detect the frequency of intestinal protozoan infections infection among Zakho general population from October 2018 to June 2022. This cross-sectional study was performed on 2,118 patients referring to private medical diagnostic laboratories in Zakho, Kurdistan Region, Iraq.

Great diverse rhizobial community nodulating in the northeastern region of China.

Introduction: Bunge is an important medicinal legume species widely cultivated in northeastern China (NEC) and northwestern China (NWC) and can establish a symbiotic relationship with nitrogen-fixing rhizobial strains. However, there are limited reports comparing the genetic diversity, differentiation, and gene flow of rhizobial strains associated with this plant in different geographic regions.

Methods: We used multilocus sequence analysis (MLSA) to investigate the phylogeny and genetic diversity of rhizobia and to estimate their intra- and inter-regional gene flow and genetic differentiation based on the analysis of concatenated core genes (, , and ) and the critical symbiotic gene .

Bacterial growth and antimicrobial resistance in urinary isolates among men with lower UTI in Swedish primary healthcare: retrospective data over a 4 year period.

Background: , the most common bacterium causing urinary tract infections (UTIs), is increasingly reported as resistant to multiple antibiotics. Swedish surveillance data from hospital and primary health care (PHC) report a 17%-19% prevalence of resistance to ciprofloxacin in from urine cultures in men over 20 years of age. Surveillance data may include nosocomial infections.

Interspecific competition and survival pressures in endangered Barringtonia racemosa populations of Mainland China.

This study evaluates the growth, survival pressures, and community dynamics of Barringtonia racemosa (L.) Spreng. populations in Jiulong Mountain and Suixi County, Guangdong Province.

Alteration of nitrogen sink and emission by vegetation distribution in a wetland with significant change in water level.

In wetlands, hydrological conditions drive plant community distribution, forming vegetation zones with plant species and material cycling. This mediates nitrogen migration and NO emissions within wetlands. Five vegetation zones in a large wetland were studied during flooding and drought periods.

ChatGPT (GPT-4) versus doctors on complex cases of the Swedish family medicine specialist examination: an observational comparative study.

Background: Recent breakthroughs in artificial intelligence research include the development of generative pretrained transformers (GPT). ChatGPT has been shown to perform well when answering several sets of medical multiple-choice questions. However, it has not been tested for writing free-text assessments of complex cases in primary care.

Does syndromic surveillance assist public health practice in early detecting respiratory epidemics? Evidence from a wide Italian retrospective experience.

Background: Large-scale diagnostic testing has been proven ineffective for prompt monitoring of the spread of COVID-19. Electronic resources may facilitate enhanced early detection of epidemics. Here, we aimed to retrospectively explore whether examining trends in the use of emergency and healthcare services and the Google search engine is useful in detecting Severe Acute Respiratory Syndrome Coronavirus outbreaks early compared with the currently used swab-based surveillance system.

A Gravity-Driven Membrane Bioreactor in Treating Real Fruit Juice Wastewater: Response Relationship Between Filtration Behavior and Microbial Community Evolution.

The issue of environmental pollution caused by wastewater discharge from fruit juice production has attracted increasing attention. However, the cost-effectiveness of conventional treatment technology remains insufficient. In this study, a gravity-driven membrane bioreactor (GDMBR) was developed to treat real fruit juice wastewater from secondary sedimentation at pressures ranging from 0.

Exploring Awareness Levels of Diabetic Ketoacidosis Risk Among Patients with Diabetes: A Cross-Sectional Study.

: Diabetic ketoacidosis (DKA) is a critical complication of diabetes mellitus, posing significant health. While global studies have indicated a concerning lack of awareness regarding DKA among patients with diabetes, research specific to the northern area of Saudi Arabia remains limited. This study aims to explore the level of knowledge and awareness of DKA among patients with diabetes residing in the local region.

[Quantitative classification and biodiversity characteristics of plant communities in Luoshan Mountain steppe, Ningxia, China].

To understand the distribution pattern and influencing factors of plant community and diversity along the altitude gradient, we examined plant community types, plant diversity and phylogenetic diversity of mountain steppe in Luoshan, Ningxia, and analyzed the relationship between the plant community and its diversity and environmental driving factors. The results showed that the main community types in the mountain steppe were community, community, community, community, ＋ community, community, ＋＋ community, ＋ community, ＋ community, community, community and community. The distribution of mountain steppe community was mainly affected by altitude, soil alkali-hydrolyzed nitrogen, water content, available potassium, silt and organic matter contents, with altitude and soil water content having the greatest effects (<0.

Impact of Climate Change on Adolescents' Health Outcomes: An Evidence Gap Map Review.

Background: The evolving impact of climate change on adolescents' health is a pressing global concern. Climate change's effects on their physical, mental, and social well-being worsen unique developmental challenges for adolescents. This study aims to map existing evidence, identify gaps, and highlight research and intervention needs.

Interactions between riverine sediment organic matter molecular structure and microbial community as regulated by heavy metals.

Heavy metals (HMs) exert a profound influence on soil carbon storage potential. The microbially-mediated association between HM content and carbon structure in riverine sediments remains unclear in lotic ecosystems. We investigated the spatiotemporal variations of HMs content, carbon content and microbial communities in riverine surface sediments, and further explored the chemical structure of sediment organic carbon (OC), the molecular composition of dissolved organic matter (DOM), and their interactions with microorganisms.

Time trends in mortality for people with severe mental illness in Denmark 2000-2018.

Purpose: People with a severe mental illness (SMI) have a marked reduction in life expectancy which is largely attributable to somatic morbidity. Life expectancy has increased in Global North populations, yet it remains unclear whether people with SMI have benefitted equally from this increase. Our objective was to explore time trends of all-cause and selected cause-specific mortality among all people in Denmark with registered diagnosis codes of SMI: depression, bipolar disorder, or schizophrenia at psychiatric out- and in-patient settings.

A systematic review of features and content quality of Arabic mental mHealth apps.

Introduction: Anxiety and depression are major causes of disability in Arab countries, yet resources for mental health services are insufficient. Mobile devices may improve mental health care delivery (mental m-Health), but the Arab region's mental m-Health app landscape remains under-documented. This study aims to systematically assess the features, quality, and digital safety of mental m-Health apps available in the Arab marketplace.

The Impact of Exclosure Duration on Plant Species Diversity in a Desert Grassland and the Relative Contribution of Plant Groups.

Plant species diversity has long been a focal point in ecological studies. In order to study the changes in species diversity at different spatial scales (α, β, and γ diversities) in the restoration process of grassland vegetation in fragile desert steps, this study took desert steppe of Inner Mongolia as the research object and employed a two-factor experimental design that combined exclosure years (the years when an area was isolated to prevent grazing and other disturbances) with years of monitoring (the years when data were collected). It analyzed the plant groups (dominant species, common species, and rare species) and species diversity, and obtained the preliminary conclusions as follows: The optimal exclosure duration for promoting species diversity balance in desert steppe management is between 16 and 18 years.